Organization
VALLEY MENTAL HEALTH INCORPORATED
Active
Other names
CBTU/PINGREE SCHOOL
Organization subpart
No
Provider details
NPI number
Authorized official
JARED SANFORD (PRESIDENT & CEO)
(360) 949-9588
Entity
Organization
Contact information
Practice address
780 GUARDSMAN WAY, SALT LAKE CITY, UT 84108-1374
(801) 581-0194
Mailing address
PO BOX 572070, SALT LAKE CITY, UT 84157-2070
(801) 263-7100
(801) 263-7123
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
UT
103TC0700X
Clinical Psychologist
—
UT
1041C0700X
Clinical Social Worker
—
UT
106H00000X
Marriage & Family Therapist
—
UT
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
—
UT
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
UT
2355S0801X
Speech-Language Assistant
—
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2423
PEHP
UT
Enumeration date
04/24/2006
Last updated
12/19/2024
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